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www.encrgyiab.com Helena, MT 877-472-0711 . Billings, tdT 800-735-4489 • Casper, WY 088-235-0515 <br />_ ,. A4jI1&aILrWlancaStnce 7951 Gillette, WY 866-686-7175 s Rapid City, SO 888-672-1225 a College Station, TX 888-690-2218 <br />Workorder Receipt Checklist IIIII?IIIII II? II I I?III?IIIII,?? <br />Cotter Corporation C10110899 <br />Login completed by. Tabitha Edwards Date Received: 11/29/2010 <br />Reviewed by: 131_20001alynch Received by: ckw <br />Reviewed Date: 12/8/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes 0 No E] Not Present El <br />Custody seats intact on shipping container/cooler? Yes E] No C] Not Present Q <br />Custody seals intact on sample bottles? Yes 7 No Not Present Q <br />Chain of custody present? Yes Q No <br />Chain of custody signed when relinquished and received? Yes 0 No <br />Chain of custody agrees with sample labels? Yes 0 No <br />Samples in proper container/bottle? Yes [J? No <br />Sample containers intact? Yes No <br />Sufficient sample volume for indicated test? Yes 0 No 171 <br />All samples received within holding time? Yes Q No F1 <br />Container/Temp Blank temperature: 5°C <br />Water - VOA vials have zero headspace? Yes [j No El No VOA vials submitted Q <br />Water - pH acceptable upon receipt? Yes 7 No F! Not Applicable 11 <br />Contact and Corrective Action Comments <br />None <br />Page 19 of 23